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Black Heroes Movement Survey
The info collected from this survey will be used for the organizations planning and events.
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* Indicates required question
What city do you currently live in?
*
Your answer
If you're from The City Pittsburgh - What neighborhood do you reside?
Your answer
Your Gender Identify?
Female
Male
Prefer not to say
Other:
Clear selection
Racial Identity
Black
White
Asian
Hispanic
Latin
Indigenous Tribal Nation
Other:
Clear selection
What's your age group?
*
under 18
18 -25
26-30
31-39
40-46
47-55
56-65
66+
Row 1
under 18
18 -25
26-30
31-39
40-46
47-55
56-65
66+
Row 1
Highest level of school completed?
*
Junior High
High School
GED
Some College
Certificate
Associate
Batchelor
Masters
PhD
Doctorate
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